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California Experts in Tumescent Liposuction!
#1 in Ventura
Dr. Hanna studied liposuction from a Liposuction Pioneer, Dr. Jeffry Klein, and became an expert in one of the latest techniques, Tumescent Liposuction which permits liposuction totally by local anesthesia!
Now Dr. Hanna can place patient's safety as his top priority. Patients are thrilled with excellent cosmetic surgery and rapid post-operative return to normal activities.
What are the benefits of tumescent liposuction?
Local anesthesia used in the tumescent technique for liposuction is so effective that patients no longer need intravenous sedatives, narcotic analgesics, or general anesthesia. As a result of the widespread capillary constriction caused by the epinephrine in the anesthetic solution, there is minimal bleeding during and after liposuction. This is a major improvement in the liposuction technique compared to the older methods that simply use general anesthesia.
|Before & After|
Recently this tumescent technique has become the worldwide standard of care for maximizing the safety of liposuction. The advent of tumescent liposuction permitted liposuction to be done totally by local anesthesia with virtually no blood loss.
Before and After Images
|Liposuction Female Back|
What is tumescent liposuction?
The word tumescent refers to anything that is swollen and firm. In the tumescent technique for liposuction, a large volume of very dilute solution of local anesthesia (lidocaine and epinephrine) is infiltrated (injected) into the fat beneath the skin, causing the targeted area to become tumescent, in other words, swollen and firm. The local anesthetic lidocaine in the tumescent solution provides such complete local anesthesia, so that there is no need for general anesthesia, or IV sedation. The drug epinephrine (adrenalin) provides profound localized vasoconstriction that there is almost no surgical bleeding during tumescent liposuction. By reducing the risks of general anesthesia and the risks of excessive surgical bleeding, the tumescent technique for liposuction totally by local anesthesia has significantly reduced the greatest dangers associated with the older forms of liposuction.
How much blood is lost during tumescent liposuction?
The tumescent technique is so effective at minimizing blood loss that the majority of patients lose approximately 15 to 30 ml (1 to 2 tablespoons) of blood during large volume liposuction. This is the same volume of blood that is taken for routine pre-operative laboratory studies. In the days before the advent of the tumescent technique, the biggest risk of liposuction was excessive loss of blood during surgery. In fact, many surgeons required their patients to donate their own blood several weeks before surgery, and then during surgery, the blood would be returned to the patient by transfusion. With the advent of the tumescent technique, blood transfusions are no longer a part of liposuction surgery.
How does the tumescent technique reduce bruising after liposuction?
There is dramatically less bruising with tumescent liposuction totally by local anesthesia compared to other liposuction techniques under general anesthesia. There are two reasons for this significant decrease in bruising. First, because there is so little blood loss with the tumescent technique, there is almost no blood that remains beneath the skin to cause bruising after surgery. The second reason for decreased bruising is that with the tumescent technique there is a considerable amount of post-operative drainage of the blood tinged anesthetic solution. The incisions are so small (about 1.5 mm), the incisions do not require stitches. By allowing these wounds to remain open for two to three days after the surgery, most of the residual blood-tinged anesthetic solution drains out. This minimizes bruising and swelling and accelerates the rate of healing.
Rapid Healing after Tumescent Liposuction
After tumescent liposuction, there is a certain amount of blood-tinged local anesthetic solution that remains under the skin. This excess fluid is either slowly absorbed over several weeks into the blood stream, or it can be rapidly removed by drainage through skin incisions and absorbed by special absorptive pads (Special Pads). Our Liposuction is an outpatient procedure and you can actually walk out of our office! The total recovery time is usually about six weeks.
Please visit our Liposuction Library of before and after photos and check out some of the testimonials from happy clients. For now, book a consultation with Dr. Hanna and find out why he is the expert source for physicians and patients.